Üniversite Öğrencilerinin Uyku Tercihlerinde Sağlığın Sosyal Belirleyicilerinin Rolü: Kesitsel Bir Çalışma
Yıl 2025,
Cilt: 9 Sayı: 3, 333 - 344, 30.09.2025
Özlem Karatana
,
Mesut Karaman
Öz
Amaç: Üniversite öğrencilerinde uyku sağlığı bir halk sağlığı sorunudur. Üniversite öğrencileri genellikle yetersiz uyku kalitesine sahiptir ve özellikle akşam tipi (E-tipi) uykuyu tercih etmektedirler. Bu çalışmanın amacı, yurtlarda yaşayan üniversite öğrencilerinin (n= 380) uyku tercihleri ile sağlığın sosyal belirleyicileri arasındaki ilişkiyi araştırmaktır.
Yöntem: Bu çalışma tanımlayıcı-ilişkisel bir çalışmadır. Veri toplama araçları Kişisel Bilgi Formu, Üniversite Öğrencileri için Sağlığın Sosyal Belirleyicileri Ölçeği ve Sabah-Akşam Uyku Ölçeği'dir.
Bulgular: Bu çalışma, sağlığın sosyal belirleyicileri ile uyku tercihleri arasında istatistiksel olarak anlamlı bir ilişki olduğunu ortaya koymuştur (p<0,05). Üniversite öğrencilerinin sosyal sağlık ihtiyaçları azaldıkça sabah uykusunu (r: -0,628) ve sosyal sağlık ihtiyaçları arttıkça akşam uykusunu (r:0,673) tercih ettikleri görüldü.
Sonuç: E-tipi üniversite öğrencilerinin uyku kalitelerini artırmak için sosyal sağlık ihtiyaçlarının karşılanması gerekmektedir. Sağlık profesyonelleri, halk sağlığı hemşireleri ve ya sosyal hizmet uzmanları sağlığın sosyal belirleyicilerini tespit edebilir ve sosyal sağlık ihtiyaçları olan üniversite öğrencileri için müdahale stratejileri uygulayabilir.
Teşekkür
Veri toplama aşamasında destek olan hemşirelik öğrencilerinden Cennet Bostancı, Merve Nur Şavluk, Rabia Berna Uğuz, Aysu Yılmaz ve Begüm Demir' e teşekkür ederim.
Kaynakça
-
1. Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. (2020). Sleepless in school: The role of social determinants of sleep health among college students. Journal of American College Health, 68(2), 185–191. doi:10.1080/07448481.2018.1538148
-
2. Sivertsen, B., Harvey, A. G., Gradisar, M., Pallesen, S., & Hysing, M. (2021). Delayed sleep–wake phase disorder in young adults: prevalence and correlates from a national survey of Norwegian university students. Sleep Medicine, 77, 184–191. doi:10.1016/j.sleep.2020.09.028.
-
3. Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college
students: A literature review. Explore, 17(2), 170–177. doi:10.1016/
j.explore.2020.11.003.
-
4. Silva, V. M., Magalhaes, J. E. de M., & Duarte, L. L. (2020). Quality of
sleep and anxiety are related to circadian preference in university
students. Plos One, 15(9), e0238514. doi:10.1371/journal.pone.0238514
-
5. Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., &
Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in
health. Biomolecules, 11(4), 487. doi:10.3390/biom11040487
-
6. Castelli, L., Galasso, L., Mulè, A., Ciorciari, A., Esposito, F., Roveda, E., &
Montaruli, A. (2023). Physical activity and morningness: A helpful
combination in improving the sleep quality of active Italian university
students. Chronobiology International, 40(8), 1028–1038.
doi:10.1080/07420528.2023.2241906
-
7. Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social
environment relationship with sleep health and disorders. Chest, 157(5),
1304–1312. doi:10.1016/j.chest.2019.12.002
-
8. Koo, D. L., Yang, K. I., Kim, J. H., Kim, D., Sunwoo, J., Hwangbo, Y., & Hong,
S. B. (2021). Association between morningness‐eveningness, sleep
duration, weekend catch‐up sleep and depression among Korean high‐
school students. Journal of Sleep Research, 30(1). doi:10.1111/jsr.13063
-
9. Merikanto, I., Kortesoja, L., Benedict, C., Chung, F., Cedernaes, J., Espie,
C. A., & Bjorvatn, B. (2022). Evening-types show highest increase of sleep
and mental health problems during the COVID-19 pandemic
multinational study on 19 267 adults. Sleep, 45(2). doi:10.1093/sleep/
zsab216
-
10. Norbury, R. (2021). Diurnal preference and depressive
symptomatology: A meta-analysis. Scientific Reports, 11(1), 12003.
doi:10.1038/s41598-021-91205-3
-
11. Centers for Disease Control and Prevention. (2022). Social
determinants of health. Retrieved from https://www.cdc.gov/about/sdoh/
index.html
-
12. Kuriyama, K. (2024). Social determinants of sleep quality: association
between sleep quality and living environment among older individuals.
Sleep and Biological Rhythms, 22(3), 301–302. doi:10.1007/
s41105-024-00533-0
-
13. Marmot, M. (2020). Health equity in England: the marmot review 10
years on. BMJ, m693. doi:10.1136/bmj.m693
-
14. Daliri Dizaj, M., & Hatami Khanghahi, T. (2022). Students’ residential
preferences: a case study is dormitories of University of Mohaghegh
Ardabili. Journal of Asian Architecture and Building Engineering, 21(4),
1348–1363. doi:10.1080/13467581.2021.1941987
-
15. Cohen, J. (1992). Statistical power analysis. Current Directions in
Psychological Science, 1(3), 98–101. doi:10.1111/1467-8721.ep10768783
-
16. Ekenler, G., & Altınel, B. (2021). Hemşirelik öğrencilerinde uyku kalitesi
ile akademik başarı arasındaki ilişkinin incelenmesi. Online Türk Sağlık
Bilimleri Dergisi, 6(4), 575–582. doi:10.26453/otjhs.883544
-
17. Arifuddin MK, Shashiraj HK, & Kavitha BS. (2021). Morningness-
eveningness preferences among first year medical students. Scholars
International Journal of Anatomy and Physiology, 4(3), 32–34.
doi:10.36348/sijap.2021.v04i03.003
-
18. Johnson, K. F., Brookover, D. L., & Bradbrook, K. (2022). Social health
needs and promotive health factors scale for college students: Scale
development and initial validation. Journal of American College Health,
70(1), 74–83. doi:10.1080/07448481.2020.1725021
-
19. Karatana, Ö. (2024). Adaptation of the social determinants of health
scale for university students to Turkish: A validity and reliability study.
İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 21, 769–779.
doi:10.38079/igusabder.1224152
-
20. Demirhan, E., Önder, İ., Horzum, M. B., Masal, E., & Beşoluk, Ş. (2019).
Adaptation of the morningness–eveningness stability scale improved
(MESSi) into Turkish. Chronobiology International, 36(3), 427–438.
doi:10.1080/07420528.2018.1560307
-
21. Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics, 7th
edition. Pearson.
-
22. Driller, M., Suppiah, H., Gastin, P. B., & Beaven, C. M. (2021).
Questionnaire-derived sleep habits and academic achievement in first
year university students. Clocks & Sleep, 4(1), 1–7. doi:10.3390/
clockssleep4010001
-
23. Martinez-Cardoso, A., Jang, W., & Baig, A. A. (2020). Moving diabetes
upstream: The social determinants of diabetes management and control
among immigrants in the US. Current Diabetes Reports, 20(10), 48.
doi:10.1007/s11892-020-01332-w
-
24. Phillips, A. J. K., Clerx, W. M., O’Brien, C. S., Sano, A., Barger, L. K., Picard, R.
W., & Czeisler, C. A. (2017). Irregular sleep/wake patterns are associated
with poorer academic performance and delayed circadian and sleep/
wake timing. Scientific Reports, 7(1), 3216. doi:10.1038/s41598-017-03171-4
-
25. Acar, G. A. (2018). Sağlıkla ilgili eğitim veren fakültelerdeki öğrencilerin
uyku kalitesinin belirlenmesi. Pamukkale Medical Journal. doi:10.31362/
patd.399606
-
26. Yilbas, B., & Gunel Karadeniz, P. (2022). The relationship between
chronotype and impulsivity, attention-deficit disorder, internet, social
media, and smartphone addiction. Alpha Psychiatry, 23(4), 203–209.
doi:10.5152/alphapsychiatry.2022.21656
-
27. Hasan, M. M., Jankowski, K. S., & Khan, M. H. A. (2022). Morningness-
eveningness preference and shift in chronotype during COVID-19 as
predictors of mood and well-being in university students. Personality and
Individual Differences, 191, 111581. doi:10.1016/j.paid.2022.111581
-
28. Önder, İ. (2022). Association of happiness with morningness -
eveningness preference, sleep-related variables and academic
performance in university students. Biological Rhythm Research, 53(6),
950–965. doi:10.1080/09291016.2020.1848266
-
29. Nouri, A., Esmaeili, F., Seyedi, H., Rezaeian, S., Panjeh, S., Cogo-Moreira,
H., & Pompeia, S. (2021). Factor structure and psychometric properties of
the Persian versions of the pediatric daytime sleepiness scale and
morningness–eveningness scale for children. Journal of Education and
Health Promotion, 10(1), 343. doi:10.4103/jehp.jehp_260_21
-
30. Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H., & Liu, S. (2021). Sex
differences in the factors associated with sleep duration in university
students: A cross-sectional study. Journal of Affective Disorders, 290,
345–352. doi:10.1016/j.jad.2021.04.025
-
31. Arrona-Palacios, A., Díaz-Morales, J. F., & Adan, A. (2021). Sleep habits
and circadian preferences in school-aged children attending a Mexican
double-shift school system. Sleep Medicine, 81, 116–119. doi:10.1016/j.sleep.2021.02.016
-
32. Wu, D., & Yang, T. (2023). Late bedtime, uncertainty stress among Chinese college students: impact on academic performance and self-rated health. Psychology, Health & Medicine, 28(10), 2915–2926. doi:10.1080/13548506.2022.2067337
The Role of Social Determinants of Health in Chronotypes Among College Students: A Cross-Sectional Study
Yıl 2025,
Cilt: 9 Sayı: 3, 333 - 344, 30.09.2025
Özlem Karatana
,
Mesut Karaman
Öz
Objective: Sleep health in college students is a public health concern. College students are commonly described as having poor sleep quality, especially those who prefer evening-type (E-type) sleep. Identifying the social determinants of chronotypes may facilitate a better understanding of why such students prefer E-type sleep. The current study aimed to investigate the relationship between social determinants and the sleep preferences of college students living in dormitories (n= 380).
Method: This is descriptive-relational research. The data collection tools included Personal information form, Social Determinants of Health Scale for University Students, and Morningness-Eveningness Stability Scale.
Results: This study revealing a statistically significant relationship between social determinants of health and sleep preferences (p< .05). The study found that college students seemed to prefer morning sleep as their social health needs decreased (r: -0.628) and evening sleep (r: 0.673) as their social health needs increased, concluding that the social health needs of E-type college students should be met in order to improve their sleep quality.
Conclusion: Health professionals, public health nurses, and social workers may identify social determinants of health and employ intervention strategies for college students with social health needs.
Kaynakça
-
1. Becerra, M. B., Bol, B. S., Granados, R., & Hassija, C. (2020). Sleepless in school: The role of social determinants of sleep health among college students. Journal of American College Health, 68(2), 185–191. doi:10.1080/07448481.2018.1538148
-
2. Sivertsen, B., Harvey, A. G., Gradisar, M., Pallesen, S., & Hysing, M. (2021). Delayed sleep–wake phase disorder in young adults: prevalence and correlates from a national survey of Norwegian university students. Sleep Medicine, 77, 184–191. doi:10.1016/j.sleep.2020.09.028.
-
3. Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college
students: A literature review. Explore, 17(2), 170–177. doi:10.1016/
j.explore.2020.11.003.
-
4. Silva, V. M., Magalhaes, J. E. de M., & Duarte, L. L. (2020). Quality of
sleep and anxiety are related to circadian preference in university
students. Plos One, 15(9), e0238514. doi:10.1371/journal.pone.0238514
-
5. Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., &
Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in
health. Biomolecules, 11(4), 487. doi:10.3390/biom11040487
-
6. Castelli, L., Galasso, L., Mulè, A., Ciorciari, A., Esposito, F., Roveda, E., &
Montaruli, A. (2023). Physical activity and morningness: A helpful
combination in improving the sleep quality of active Italian university
students. Chronobiology International, 40(8), 1028–1038.
doi:10.1080/07420528.2023.2241906
-
7. Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social
environment relationship with sleep health and disorders. Chest, 157(5),
1304–1312. doi:10.1016/j.chest.2019.12.002
-
8. Koo, D. L., Yang, K. I., Kim, J. H., Kim, D., Sunwoo, J., Hwangbo, Y., & Hong,
S. B. (2021). Association between morningness‐eveningness, sleep
duration, weekend catch‐up sleep and depression among Korean high‐
school students. Journal of Sleep Research, 30(1). doi:10.1111/jsr.13063
-
9. Merikanto, I., Kortesoja, L., Benedict, C., Chung, F., Cedernaes, J., Espie,
C. A., & Bjorvatn, B. (2022). Evening-types show highest increase of sleep
and mental health problems during the COVID-19 pandemic
multinational study on 19 267 adults. Sleep, 45(2). doi:10.1093/sleep/
zsab216
-
10. Norbury, R. (2021). Diurnal preference and depressive
symptomatology: A meta-analysis. Scientific Reports, 11(1), 12003.
doi:10.1038/s41598-021-91205-3
-
11. Centers for Disease Control and Prevention. (2022). Social
determinants of health. Retrieved from https://www.cdc.gov/about/sdoh/
index.html
-
12. Kuriyama, K. (2024). Social determinants of sleep quality: association
between sleep quality and living environment among older individuals.
Sleep and Biological Rhythms, 22(3), 301–302. doi:10.1007/
s41105-024-00533-0
-
13. Marmot, M. (2020). Health equity in England: the marmot review 10
years on. BMJ, m693. doi:10.1136/bmj.m693
-
14. Daliri Dizaj, M., & Hatami Khanghahi, T. (2022). Students’ residential
preferences: a case study is dormitories of University of Mohaghegh
Ardabili. Journal of Asian Architecture and Building Engineering, 21(4),
1348–1363. doi:10.1080/13467581.2021.1941987
-
15. Cohen, J. (1992). Statistical power analysis. Current Directions in
Psychological Science, 1(3), 98–101. doi:10.1111/1467-8721.ep10768783
-
16. Ekenler, G., & Altınel, B. (2021). Hemşirelik öğrencilerinde uyku kalitesi
ile akademik başarı arasındaki ilişkinin incelenmesi. Online Türk Sağlık
Bilimleri Dergisi, 6(4), 575–582. doi:10.26453/otjhs.883544
-
17. Arifuddin MK, Shashiraj HK, & Kavitha BS. (2021). Morningness-
eveningness preferences among first year medical students. Scholars
International Journal of Anatomy and Physiology, 4(3), 32–34.
doi:10.36348/sijap.2021.v04i03.003
-
18. Johnson, K. F., Brookover, D. L., & Bradbrook, K. (2022). Social health
needs and promotive health factors scale for college students: Scale
development and initial validation. Journal of American College Health,
70(1), 74–83. doi:10.1080/07448481.2020.1725021
-
19. Karatana, Ö. (2024). Adaptation of the social determinants of health
scale for university students to Turkish: A validity and reliability study.
İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 21, 769–779.
doi:10.38079/igusabder.1224152
-
20. Demirhan, E., Önder, İ., Horzum, M. B., Masal, E., & Beşoluk, Ş. (2019).
Adaptation of the morningness–eveningness stability scale improved
(MESSi) into Turkish. Chronobiology International, 36(3), 427–438.
doi:10.1080/07420528.2018.1560307
-
21. Tabachnick, B. G., & Fidell, L. S. (2021). Using multivariate statistics, 7th
edition. Pearson.
-
22. Driller, M., Suppiah, H., Gastin, P. B., & Beaven, C. M. (2021).
Questionnaire-derived sleep habits and academic achievement in first
year university students. Clocks & Sleep, 4(1), 1–7. doi:10.3390/
clockssleep4010001
-
23. Martinez-Cardoso, A., Jang, W., & Baig, A. A. (2020). Moving diabetes
upstream: The social determinants of diabetes management and control
among immigrants in the US. Current Diabetes Reports, 20(10), 48.
doi:10.1007/s11892-020-01332-w
-
24. Phillips, A. J. K., Clerx, W. M., O’Brien, C. S., Sano, A., Barger, L. K., Picard, R.
W., & Czeisler, C. A. (2017). Irregular sleep/wake patterns are associated
with poorer academic performance and delayed circadian and sleep/
wake timing. Scientific Reports, 7(1), 3216. doi:10.1038/s41598-017-03171-4
-
25. Acar, G. A. (2018). Sağlıkla ilgili eğitim veren fakültelerdeki öğrencilerin
uyku kalitesinin belirlenmesi. Pamukkale Medical Journal. doi:10.31362/
patd.399606
-
26. Yilbas, B., & Gunel Karadeniz, P. (2022). The relationship between
chronotype and impulsivity, attention-deficit disorder, internet, social
media, and smartphone addiction. Alpha Psychiatry, 23(4), 203–209.
doi:10.5152/alphapsychiatry.2022.21656
-
27. Hasan, M. M., Jankowski, K. S., & Khan, M. H. A. (2022). Morningness-
eveningness preference and shift in chronotype during COVID-19 as
predictors of mood and well-being in university students. Personality and
Individual Differences, 191, 111581. doi:10.1016/j.paid.2022.111581
-
28. Önder, İ. (2022). Association of happiness with morningness -
eveningness preference, sleep-related variables and academic
performance in university students. Biological Rhythm Research, 53(6),
950–965. doi:10.1080/09291016.2020.1848266
-
29. Nouri, A., Esmaeili, F., Seyedi, H., Rezaeian, S., Panjeh, S., Cogo-Moreira,
H., & Pompeia, S. (2021). Factor structure and psychometric properties of
the Persian versions of the pediatric daytime sleepiness scale and
morningness–eveningness scale for children. Journal of Education and
Health Promotion, 10(1), 343. doi:10.4103/jehp.jehp_260_21
-
30. Lu, L., Dong, M., Jian, S., Gao, J., Ye, L., Chen, H., & Liu, S. (2021). Sex
differences in the factors associated with sleep duration in university
students: A cross-sectional study. Journal of Affective Disorders, 290,
345–352. doi:10.1016/j.jad.2021.04.025
-
31. Arrona-Palacios, A., Díaz-Morales, J. F., & Adan, A. (2021). Sleep habits
and circadian preferences in school-aged children attending a Mexican
double-shift school system. Sleep Medicine, 81, 116–119. doi:10.1016/j.sleep.2021.02.016
-
32. Wu, D., & Yang, T. (2023). Late bedtime, uncertainty stress among Chinese college students: impact on academic performance and self-rated health. Psychology, Health & Medicine, 28(10), 2915–2926. doi:10.1080/13548506.2022.2067337